Individual
DR. JULIANI D GOENAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2201 E BARNETT RD, MEDFORD, OR 97504-8259
(541) 776-5271
(541) 776-0814
Mailing address
2201 E BARNETT RD, MEDFORD, OR 97504-8259
(541) 776-5271
(541) 776-0814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6924
OR
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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